Bulbar and Limb Myorhythmia with 'Smooch Sign': A Distinctive Movement Disorder in an Adult Patient with Reversible Anti-NMDA Receptor Encephalitis Associated with an Ovarian Teratoma
Autor: | Eli S. Neiman, Sumaiya Salim, Michael Seyffert, Sudhansu Chokroverty, Lazer E. Leifer, Spozhmy Panezai, Michael L. Rosenberg |
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Rok vydání: | 2015 |
Předmět: |
Adult
Pathology medicine.medical_specialty Movement disorders Paraneoplastic Syndromes Status epilepticus Primary Dysautonomias Electroencephalography Status Epilepticus medicine Humans Ovarian Teratoma Anti-NMDA receptor encephalitis Anti-N-Methyl-D-Aspartate Receptor Encephalitis Ovarian Neoplasms Movement Disorders medicine.diagnostic_test business.industry Teratoma Dysautonomia medicine.disease Medical Laboratory Technology Female Neurology (clinical) medicine.symptom business Encephalitis |
Zdroj: | The Neurodiagnostic journal. 55(3) |
ISSN: | 2164-6821 |
Popis: | Anti-N-Methyl-D-Aspartate receptor encephalitis is a recently described entity (Dalmau et al. 2007, 2008) that may present with a variety of complex movements in addition to other features (Kleinig et al. 2008). The purpose of our presentation of such a patient is twofold: (1) to characterize these complex oculo-oro-linguo-masticatory and limb movements with "smooch sign" as myorhythmia, based on a combined clinical and electrophysiological analysis (Masucci et al. 1984); and (2) to document possibly characteristic EEG evolution in the course of observation in our institution for three weeks from diffuse slowing to evolving rhythmic delta activity, which may represent a pattern of electrographic seizure activity. |
Databáze: | OpenAIRE |
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